Active NPI
Amanda Loerinc Guinyard, PH.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1134522055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11374
- Practice address
- 76 Stonley Rd Apt 27
Boston, MA 02130-5600 - Phone
- (617) 843-3886
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31258 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 11374 | MA | Primary |
Addresses
Primary practice location
76 Stonley Rd Apt 27
Boston, MA 02130-5600
Mailing address
76 Stonley Rd Apt 27
Boston, MA 02130-5600
Phone (617) 843-3886
Other practice location 1
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-1637
Other practice location 2
747 Main St Ste 324
Concord, MA 01742-3329
Phone (978) 357-1004
Other names 1
- Amanda Loerinc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 4, 2024 through Aug 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31258 | CA | MD | Clinical Psychologist |
| 11374 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1134522055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 STONLEY RD APT 27",
"city": "BOSTON",
"state": "MA",
"postal_code": "021305600",
"telephone_number": "617-843-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 STONLEY RD APT 27",
"city": "BOSTON",
"state": "MA",
"postal_code": "021305600",
"telephone_number": "617-843-3886"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-1637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 Main St Ste 324",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017423329",
"country_code": "US",
"telephone_number": "978-357-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOERINC GUINYARD",
"first_name": "AMANDA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31258",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LOERINC",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.